Dropping Out and Clocking In: A Portrait of Teens Who Leave School Early and Work

During the needs assessment for Langley Park, a Latino Promise Neighborhood outside Washington, DC, the Urban Institute went into the community expecting to find a significant proportion of young people out of school and unemployed but instead found something else (Scott et al. 2014). The rates of disconnected youth were on par with national averages, but nearly 40 percent of young people between the ages of 16 and 19 were working and not in school. This raises several questions. Is this trend specific to this neighborhood, Latinos, or first- and second-generation immigrants? Or is it a clue to a larger trend

Planning the Housing Opportunity and Services Together Demonstration: Challenges and Lessons Learned

Offers insights from designing and implementing a project to address barriers to self-sufficiency among low-income parents, such as poor health and low education levels, while integrating services for children and youth in public and mixed-income housing

Facing Our Future: Children in the Aftermath of Immigration Enforcement

Based on interviews, examines the effects of the arrest, detention, and/or deportation of undocumented parents on their children, including changes in behavior, food sufficiency, and housing. Explores community responses. Makes policy recommendations

Neuropsychological Outcomes of U.S. Veterans with Report of Remote Blast-Related Concussion and Current Psychopathology

This study explored whether remote blast-related MTBI and/or current Axis I psychopathology contribute to neuropsychological outcomes among OEF/OIF veterans with varied combat histories. OEF/OIF veterans underwent structured interviews to evaluate history of blast-related MTBI and psychopathology and were assigned to MTBI (n = 18), Axis I (n = 24), Co-morbid MTBI/Axis I (n = 34), or post-deployment control (n = 28) groups. A main effect for Axis I diagnosis on overall neuropsychological performance was identified (F(3,100) = 4.81; p = .004), with large effect sizes noted for the Axis I only (d = .98) and Co-morbid MTBI/Axis I (d = .95) groups relative to the control group. The latter groups demonstrated primary limitations on measures of learning/memory and processing speed. The MTBI only group demonstrated performances that were not significantly different from the remaining three groups. These findings suggest that a remote history of blast-related MTBI does not contribute to objective cognitive impairment in the late stage of injury. Impairments, when present, are subtle and most likely attributable to PTSD and other psychological conditions. Implications for clinical neuropsychologists and future research are discussed. (JINS, 2012, 18, 1–11

Branching coral growth and visual health during bleaching and recovery on the central Great Barrier Reef

Coral reefs are under threat from cumulative impacts such as cyclones, crown-of-thorns starfish (COTS) outbreaks and climate-driven coral bleaching events. Branching corals are more severely impacted by these events than other coral morphologies due to their sensitivity to heat stress and weaker skeletons and COTS preferred prey. The central Great Barrier Reef experienced unprecedented back-to-back bleaching events in 2016 and 2017. This study commenced in 2017 at the peak of heat stress and examined the impact of the heatwave on the survival and recovery of corals by assessing the growth, health (based on the visual health index) and physiological parameters (chlorophyll a, zooxanthellae density, lipid and protein content) of two species, Acropora millepora and Pocillopora acuta (N = 60 colonies for each species). It was conducted across a gradient of turbidity at three reefs, Pandora, Orpheus and Rib, that experienced in April 2017, degree heating weeks (DHW) of 9, 8 and 7, respectively. Orpheus experienced the worst bleaching, based on visual health score, followed by Rib and Pandora. Rib experienced the greatest mortality (78% by Nov 2017); however, this was attributed to the presence of actively feeding crown-of-thorns starfish. Growth rates of A. millepora were almost twice the rate of P. acuta. Both species showed significant seasonal variation with growth of A. millepora and P. acuta 35–40% and 23–33% significantly greater in the summer, respectively. Differences in growth rates were best explained by indicators of energy acquisition. For example, the most important predictor variable in determining higher growth rates and visual health score in A. millepora was chlorophyll a content. For P. acuta, visual health score was the best predictor variable for higher growth rates. This study highlights the important role that chlorophyll a and associated symbionts play in growth and survival in these corals during and after a heat stress event

Core competencies for pain management: results of an interprofessional consensus summit.

ObjectiveThe objective of this project was to develop core competencies in pain assessment and management for prelicensure health professional education. Such core pain competencies common to all prelicensure health professionals have not been previously reported.MethodsAn interprofessional executive committee led a consensus-building process to develop the core competencies. An in-depth literature review was conducted followed by engagement of an interprofessional Competency Advisory Committee to critique competencies through an iterative process. A 2-day summit was held so that consensus could be reached.ResultsThe consensus-derived competencies were categorized within four domains: multidimensional nature of pain, pain assessment and measurement, management of pain, and context of pain management. These domains address the fundamental concepts and complexity of pain; how pain is observed and assessed; collaborative approaches to treatment options; and application of competencies across the life span in the context of various settings, populations, and care team models. A set of values and guiding principles are embedded within each domain.ConclusionsThese competencies can serve as a foundation for developing, defining, and revising curricula and as a resource for the creation of learning activities across health professions designed to advance care that effectively responds to pain

Common ADRB2 Haplotypes Derived from 26 Polymorphic Sites Direct β2-Adrenergic Receptor Expression and Regulation Phenotypes

Background: The β2-adrenergic receptor (β2AR) is expressed on numerous cell-types including airway smooth muscle cells and cardiomyocytes. Drugs (agonists or antagonists) acting at these receptors for treatment of asthma, chronic obstructive pulmonary disease, and heart failure show substantial interindividual variability in response. The ADRB2 gene is polymorphic in noncoding and coding regions, but virtually all ADRB2 association studies have utilized the two common nonsynonymous coding SNPs, often reaching discrepant conclusions. Methodology/Principal Findings: We constructed the 8 common ADRB2 haplotypes derived from 26 polymorphisms in the promoter, 5′UTR, coding, and 3′UTR of the intronless ADRB2 gene. These were cloned into an expression construct lacking a vector-based promoter, so that β2AR expression was driven by its promoter, and steady state expression could be modified by polymorphisms throughout ADRB2 within a haplotype. “Whole-gene” transfections were performed with COS-7 cells and revealed 4 haplotypes with increased cell surface β2AR protein expression compared to the others. Agonist-promoted downregulation of β2AR protein expression was also haplotype-dependent, and was found to be increased for 2 haplotypes. A phylogenetic tree of the haplotypes was derived and annotated by cellular phenotypes, revealing a pattern potentially driven by expression. Conclusions/Significance: Thus for obstructive lung disease, the initial bronchodilator response from intermittent administration of β-agonist may be influenced by certain β2AR haplotypes (expression phenotypes), while other haplotypes may influence tachyphylaxis during the response to chronic therapy (downregulation phenotypes). An ideal clinical outcome of high expression and less downregulation was found for two haplotypes. Haplotypes may also affect heart failure antagonist therapy, where β2AR increase inotropy and are anti-apoptotic. The haplotype-specific expression and regulation phenotypes found in this transfection-based system suggest that the density of genetic information in the form of these haplotypes, or haplotype-clusters with similar phenotypes can potentially provide greater discrimination of phenotype in human disease and pharmacogenomic association studies

Surgical management of primary colonic lymphoma: Big data for a rare problem

Background and ObjectivesPrimary colonic lymphoma (PCL) is rare, heterogeneous, and presents a therapeutic challenge for surgeons. Optimal treatment strategies are difficult to standardize, leading to variation in therapy. Our objective was to describe the patient characteristics, short‐term outcomes, and five‐year survival of patients undergoing nonpalliative surgery for PCL.MethodsWe performed a retrospective cohort analysis in the National Cancer Database. Included patients underwent surgery for PCL between 2004 to 2014. Patients with metastases and palliative operations were excluded. Univariate predictors of overall survival were analyzed using multivariable Cox proportional hazard analysis.ResultsWe identified 2153 patients. Median patient age was 68. Diffuse large B‐cell lymphoma accounted for 57% of tumors. 30‐ and 90‐Day mortality were high (5.6% and 11.1%, respectively). Thirty‐nine percent of patients received adjuvant chemotherapy. For patients surviving 90 days, 5‐year survival was 71.8%. Chemotherapy improved survival (surgery+chemo, 75.4% vs surgery, 68.6%; P = .01). Adjuvant chemotherapy was associated with overall survival after controlling for age, comorbidity, and lymphoma subtype (HR 1.27; 95% CI, 1.07‐1.51; P = .01).ConclusionsPatients undergoing surgery for PCL have high rates of margin positivity and high short‐term mortality. Chemotherapy improves survival, but <50% receive it. These data suggest the opportunity for improvement of care in patients with PCL.Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/150597/1/jso25582_am.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/150597/2/jso25582.pd